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Related Experiment Videos

Pseudostrabismus: an audit

H B Jacobs

    The British Journal of Ophthalmology
    |November 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Pseudostrabismus in children rarely leads to true squint, especially in emmetropes. Close follow-up for emmetropic children with pseudostrabismus is likely unnecessary.

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    Area of Science:

    • Ophthalmology
    • Pediatric Ophthalmology
    • Strabismus Research

    Background:

    • Pseudostrabismus is a common condition in children, often confused with true strabismus.
    • Differentiating between pseudostrabismus and true squint is crucial for appropriate management and prognosis.

    Purpose of the Study:

    • To investigate the incidence of true squint development in children initially presenting with pseudostrabismus.
    • To compare the risk of developing true squint in ametropic versus emmetropic children with pseudostrabismus.

    Main Methods:

    • Retrospective analysis of 331 children diagnosed with pseudostrabismus.
    • Categorization of children into ametropic and emmetropic groups.
    • Assessment of subsequent development of true convergent squint.

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    Main Results:

    • 24% of ametropic children (77) with pseudostrabismus developed true convergent squint.
    • Only 1.65% of emmetropic children (243) with pseudostrabismus developed true squint.
    • The incidence of true squint in emmetropes was significantly lower than in an unselected population.

    Conclusions:

    • Children with pseudostrabismus and ametropia have a notable risk of developing true squint.
    • Emmetropic children with pseudostrabismus have a very low risk of developing true squint.
    • Intensive follow-up for emmetropic children with pseudostrabismus may not be clinically justified.